Fractures of proximal phalanx

Case contributed by Dr Tom O'Graphy

Presentation

Farmer with direct trauma to the hand at work. Tolerating pain remarkably.

Patient Data

Age: 30
Gender: Male
X-ray

Fracture of the proximal phalanx of second and third finger. The 2nd is non displaced and seems stable but the 3rd is unstable and has a displacement and requires surgery.

Case Discussion

Treatment for the 2nd is in discussion - alone an orthopedic treatment can be done but often it is preferred to treat with surgery to obtain healing with a minimum of time of immobilization.

For the 3rd, it also has rotation clinically, which is a indication for surgical treatment.

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